“…The human blood group antigen classification system is based on three glycan structures, A, B and H, with precursors lacto- N -tetraose (LNT; Gal-β-1,3-GlcNAc-β-1,3-Gal-β-1,4-Glc), lactosamine type 1 (Galβ1-3GlcNAc), and lactosamine type 2 (Galβ1-4GlcNAc) forming the major backbone of all three antigens (4). Host gene expression of α-1,2-fucosyltransferase enables synthesis of H antigen, which can be further transformed by N -acetylgalactosaminyl-transferase or d -galactosyl-transferase to produce A and B antigens, respectively (5, 6). Expression of A, B, and H antigens on epithelial cell surfaces and secretion into extracellular fluid is dependent on expression of the Se( FUT2 ) gene encoding fucosyl-transferase 2, which facilitates secretion of the corresponding blood group antigens by mucin-secreting goblet cells (1).…”